ID
2340
Beschrijving
AMC-064 Off-Study Summary Form (F50) Study of Blood and Tissue Samples From Patients With Aggressive Non-Hodgkin B-Cell Lymphoma or Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7C993962-288D-EDFE-E040-BB89AD43562B
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- 19-09-12 19-09-12 -
- 24-08-17 24-08-17 -
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19 september 2012
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Creative Commons BY-NC 3.0 Legacy
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Lymphoma NCT00981097 Off Treatment - AMC-064 Off-Study Summary Form (F50) - 2983033v1.0
Please submit this form if the subject has (at least one of the following): 1) completed the post treatment follow-up period per protocol 2) been lost to follow-up 3) has refused follow-up 4) withdrew consent 5) has died. (Note: If all follow-up for a subject has been completed, all subjects (except those never initiating protocol therapy) must have both an Off Protocol Treatment Summary form and Off Study Summary form submitted.)
- StudyEvent: AMC-064 Off-Study Summary Form (F50)
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Please submit this form if the subject has (at least one of the following): 1) completed the post treatment follow-up period per protocol 2) been lost to follow-up 3) has refused follow-up 4) withdrew consent 5) has died. (Note: If all follow-up for a subject has been completed, all subjects (except those never initiating protocol therapy) must have both an Off Protocol Treatment Summary form and Off Study Summary form submitted.)
- StudyEvent: AMC-064 Off-Study Summary Form (F50)
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